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If you are an Individual or Family Member under age 65, please register here.

If you are an Medicare or Medicare Supplement member, please register here.

New Options for Affordable Health Insurance

Contracting Nurse Practitioner

  1. Independent nurse practitioners, contact your Provider Relations Representative to order your contract. (See PAP100)
  2. Nurse practitioners and independent nurse practitioners must submit the following items. Any missing items may result in the return of incomplete documents or a delay in processing.


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